Optimized recovery programs in gastrointestinal surgery
Savikko, J.; Kössi, J.; Scheinin, T.
Duodecim; Laaketieteellinen Aikakauskirja 132(19): 1805-1809
2016
ISSN/ISBN: 0012-7183 PMID: 29188977 Document Number: 690042
Optimized or enhanced recovery programs have been applied to intestinal surgery already for a long time. They are being widely initiated also within bariatric, hepatic and pancreatic surgery. The programs aim at an increasingly better well-being of surgical patients by avoiding procedures which slow down the recovery and favoring those that promote it. Informing the patient is also an essential part of the programs. Effective pain management avoiding opioids, early started oral nutrition, and mobilization immediately after the operation prevent postoperative decreased intestinal motility and nausea. At best, the programs will guarantee the patients' excellent recovery and shorten the length of stay on the ward.